Individual
MACKENZIE A TORLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 BROADWAY ST, MADISON, IN 47250-3310
(812) 801-0611
Mailing address
630 BROADWAY ST # 2, MADISON, IN 47250-3310
(812) 801-0995
(812) 801-8621
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
28205773A
IN
363LF0000X
Family Nurse Practitioner
Primary
71017177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300122188
—
IN
05
—
7101155770
—
KY
Enumeration date
07/29/2025
Last updated
07/16/2026
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